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BİR İSKELETSEL SINIF 3 OLGUNUN YÜZ MASKESİ VE KEMİK DESTEKLİ PENDULUM APAREYİ İLE TEDAVİSİ (OLGU SUNUMU)

TREATMENT OF A SKELETAL CLASS III MALOCCLUSION WITH FACE-MASK AND BONE-ANCHORED PENDULUM APPLIANCE (A CASE REPORT)

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Abstract (2. Language): 
In this case report, the treatment of an 11 year s and 3 months old girl with skeletal Class III malocclusion using face mask followed by bone-anchored pendulum appliance was presented. The elastics with 1200 gr force with 15°-20° to the occlusal plane were adjusted and the patient was told to use them for 16-18 hours. Anterior cross-bite was corrected after the use of face mask for 13 months; however, dental Class II malocclusion was occurred. To correct the Class II molar and canine relationships occurred after face mask therapy, molar distalization with bone-anchored pendulum appliance was applied. The springs were prepared as applying about 200 gr force to provide distalization and Class I molar relationship was achieved about 6 months later. As a result, skeletal Class III was corrected with a face mask, while dental Class II was corrected with bone-anchored pendulum appliance.
Abstract (Original Language): 
Bu vaka raporunda maksiller yetersizlikle karakterize iskeletsel Sınıf III anomaliye sahip, kronolojik yaşı 11 yıl 3 ay olan bir kız hastanın yüz maskesi ve takiben kemik destekli pendulum apareyi ile tedavisi sunulmuştur. Elastikler 1200 gr kuvvet uygulayacak şekilde okluzal düzlemle 15°-20° açı ile ayarlanmış ve hastadan lastiklerini günde 16-18 saat kullanması istenilmiştir. Ön çapraz kapanış 13 aylık yüz maskesi tedavisi ile düzeltilmiş ancak vakada dişsel Sınıf II maloklüzyon oluşmuştur. Maksiller protraksiyon sonucu ortaya çıkan Sınıf II molar ve kanin ilişkiyi düzeltmek amacıyla kemik destekli pendulum apareyi ile molar distalizasyonu yapılmıştır. Springler distalizasyonu sağlamak amacıyla yaklaşık 200 gr kuvvet uygulayacak şekilde hazırlanmış ve yaklaşık 6 ay sonra Sınıf I molar ilişki sağlanmıştır. Sonuç olarak iskeletsel Sınıf III yüz maskesi ile tedavi edilirken, dişsel Sınıf II kemik destekli pendulum apareyi ile tedavi edilmiştir.
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Atatürk Üniv. Diş Hek. Fak. Derg.
J Dent Fac Atatürk Uni
Cilt:21, Sayı: 1, Yıl: 2011, Sayfa: 33-38
ÇELİKORLU, YAVUZ
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